Posts for category: Oral Health
If you think “vaping” electronic cigarettes (e-cigarettes for short) is healthier for your teeth and gums than smoking cigarettes, you might be disappointed with the latest research. A number of studies seem to indicate e-cigarettes could be just as damaging to your mouth as traditional cigarettes.
An e-cigarette is a device containing a chamber for liquids and a means to heat the liquid into a vapor. The user then inhales or “vapes” the vapor, which contains nicotine and flavorings. The heat also pressurizes the vapor causing it to expel as an aerosol into the mouth.
Researchers have found the ingredients and aerosol effect could lead to potential health problems. An Ohio State University researcher found that vaping disrupted the normal balance of microorganisms in the mouth known as the oral microbiome. This imbalance could make it easier for disease-causing bacteria to proliferate, particularly those most responsible for periodontal (gum) disease.
Another study coming out of the University of Rochester and Stony Brook University in New York detected cell damage in gum tissue caused by e-cigarette vapor similar to that caused by regular cigarette smoke. Some of this damage seemed to result from the flavoring agents used in the e-cigarette liquid, as well as nicotine.
Another study from Quebec, Canada appears to concur with the New York study. These researchers found the damage caused by e-cigarette vapor might substantially increase the rate of cell death in oral tissues by as much as 50% over a short period of time. This kind of damage can lead to higher risks of dental diseases like gum disease or tooth decay.
While we don’t know the long-term effect of using e-cigarettes on both oral and general health, these studies are alarming: They seem to show vaping may cause some of the same problems as smoking. With the jury still out, the prudent thing to do is limit or avoid vaping altogether to protect your mouth from these unhealthy outcomes.
Be sure to mark August 6 on your calendars—and not just because it's the day in 1661 when the Dutch sold Brazil to Portugal, or when President Johnson signed the Voting Rights Act in 1965, or when the Ramones performed for the last time in 1996. August 6 also happens to be National Fresh Breath Day! But since fresh breath is important to us every day, we like to celebrate all month long.
Celebrating fresh breath might not seem as noteworthy as these other historical moments, but if you're a frequent halitosis (bad breath) sufferer, you know it can be downright embarrassing. More importantly, it could be a sign of a deeper health problem. It turns out there are a number of reasons why you might have bad breath. Here are the most common.
You're not adequately cleaning your mouth. Certain strains of bacteria are known for emitting volatile sulfur compounds, which give rise to that "rotten egg" smell and are a major component of bad breath. Because they feed on leftover sugars and proteins from food, you can keep them and their noxious odors at bay by brushing and flossing your teeth and brushing the broad surface of the tongue, a prime breeding ground for these bacteria.
You're not producing enough saliva. This unsung bodily fluid is a key part of good oral health. Besides helping to rinse the mouth of food particles after eating, saliva also fights odor-causing bacteria. If your mouth is dry because you're not producing enough saliva, bacteria can grow and create a number of oral health problems, including bad breath. You may be able to relieve chronic dry mouth and accompanying bad breath by using saliva-boosting agents or drinking more water. You should also talk to your doctor about any medications you're taking that might interfere with saliva production.
It could be caused by disease. Tooth decay or periodontal (gum) disease naturally give rise to bad breath—but so can other diseases like diabetes, cancer or respiratory infections. As you're dealing with these other conditions, you may also need to contend with bad breath as a side effect. You can help reduce any disease-based odors by keeping up your daily oral hygiene, especially if you're undergoing treatment for a systemic condition. Obtaining treatment, particularly if you have tooth decay or gum disease, will help reduce these embarrassing foul odors.
National Fresh Breath Day may not share the same pedestal with other momentous August dates, but if it reminds you to keep your mouth clean and see your dentist regularly, fresh breath certainly deserves its own day.
If you would like more information about the causes and remedies for bad breath, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Bad Breath: More Than Just Embarrassing” and “Dry Mouth.”
It can be alarming to be awakened in the middle of the night by a screeching, gritting sound coming from your child’s bedroom. No, it’s not a scene from a horror movie: it’s your child grinding their teeth as they sleep — a behavior so prevalent in children under eleven it’s considered normal.
That doesn’t mean, however, you should completely ignore it. While it isn’t harmful for most children, a few can encounter tooth wear, pain or trouble sleeping that calls for some form of intervention.
The causes for tooth grinding and similar habits known collectively as bruxism aren’t thoroughly understood, but in children it’s believed linked to the immaturity of the neuromuscular system that controls chewing. Some point to shifts from one stage of sleep to another — more than 80% of grinding episodes occur in lighter stages of sleep and only 5% to 10% during the deeper Rapid-Eye-Movement (REM) stage. It also seems prevalent in children who snore or have other symptoms of sleep apnea.
One primary concern is how the behavior can affect teeth, particularly through abnormal wear. The teeth, of course, make hundreds of contacts with each other every day during eating, speaking or jaw movement. If, however, the forces generated during these contacts chronically exceed normal parameters, as with bruxism, it can cause accelerated tooth wear. This can result in a higher susceptibility to tooth decay and appearance changes later in life.
If your child is exhibiting problems associated with teeth grinding, there are ways to address it. We may recommend a thin, plastic mouthguard they wear while sleeping that prevents the teeth from making solid contact with each other. We may also refer you to an ear, nose and throat specialist if we suspect signs of sleep apnea. And, children under severe psychological stress, which can also trigger teeth grinding, could benefit from behavioral therapy.
The good news is most grinding habits fade as children enter their teens. In the meantime, keep a watchful eye and see us if you notice any indications this common habit is affecting their health and well-being.
If you would like more information on teeth grinding habits, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “When Children Grind Their Teeth.”
Fans of the legendary rock band Steely Dan received some sad news a few months ago: Co-founder Walter Becker died unexpectedly at the age of 67. The cause of his death was an aggressive form of esophageal cancer. This disease, which is related to oral cancer, may not get as much attention as some others. Yet Becker's name is the latest addition to the list of well-known people whose lives it has cut short—including actor Humphrey Bogart, writer Christopher Hitchens, and TV personality Richard Dawson.
As its name implies, esophageal cancer affects the esophagus: the long, hollow tube that joins the throat to the stomach. Solid and liquid foods taken into the mouth pass through this tube on their way through the digestive system. Worldwide, it is the sixth most common cause of cancer deaths.
Like oral cancer, esophageal cancer generally does not produce obvious symptoms in its early stages. As a result, by the time these diseases are discovered, both types of cancer are most often in their later stages, and often prove difficult to treat successfully. Another similarity is that dentists can play an important role in oral and esophageal cancer detection.
Many people see dentists more often than any other health care professionals—at recommended twice-yearly checkups, for example. During routine examinations, we check the mouth, tongue, neck and throat for possible signs of oral cancer. These may include lumps, swellings, discolorations, and other abnormalities—which, fortunately, are most often harmless. Other symptoms, including persistent coughing or hoarseness, difficulty swallowing, and unexplained weight loss, are common to both oral and esophageal cancer. Chest pain, worsening heartburn or indigestion and gastroesophageal reflux disease (GERD) can also alert us to the possibility of esophageal cancer.
Cancer may be a scary subject—but early detection and treatment can offer many people the best possible outcome. If you have questions about oral or esophageal cancer, call our office or schedule a consultation. You can learn more in the Dear Doctor magazine article “Oral Cancer.”
Gum disease is certainly not something you want to ignore. This condition affects most American adults and is the leading cause of tooth loss. Brushing and flossing are the best ways to protect your gums from the bacteria responsible for causing periodontal disease; however, it’s also important that you know when to recognize that you may have gum disease so that you can turn to our Kirkland, WA, dentist Dr. Bernard Pak right away.
Who is at risk for gum disease?
While gum disease can happen to anyone there are certain factors that can increase your chances for developing this infection. These factors include:
- Poor oral hygiene
- Tobacco use
- Heavy alcohol use
- Hormonal changes (e.g. menopause; pregnancy)
- Poor nutrition
While you won’t be able to change certain risk factors such as genetics it’s obvious that there is still a lot you can do to protect your gums from infection. Brushing and flossing regularly and eating a healthy diet are the best preventive measures you can take. Quitting smoking and drinking in moderation can also reduce your risk. Women who are pregnant may also want to visit their dentist more regularly for routine checkups and cleanings.
What are the warning signs of gum disease?
You may be dealing with gum disease if you are experiencing any of these symptoms:
- Bleeding gums, particularly after brushing, flossing or eating hard foods
- Tender, puffy and red gums
- Gums that are receding or pulling away from the teeth
- Sudden tooth sensitivity (due to root exposure because of receding gums)
- Persistent and unexplained bad breath
- Changes in your bite, or how your teeth fit together
It’s important to understand that many people have gum disease but never experience any symptoms; therefore, if you’ve been putting off visiting your dentist in Kirkland, WA, because you aren’t experiencing any symptoms or issues it’s possible that you could have gum disease and not even know it. That’s why it’s important to visit your dentist for routine checkups twice a year.
If bleeding, puffy gums are affecting you in Kirkland, WA, then it’s time that you scheduled an immediate dental appointment with Dr. Pak to find out what’s going on. The dental team at Kirkland Smiles Dental Care is dedicated to providing you with the care you need to maintain healthy teeth and gums.